| NPI | 1699892307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY PALERMO CEO 907-733-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AK 77895) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2014-07-25 |